公共选择的经济学:来自地方药品市场的证据

The Economics of the Public Option: Evidence from Local Pharmaceutical Markets

American Economic Review · 2024
被引 12
人大 A+FT50ABS 4*

中文导读

研究智利公立药店进入地方市场的影响,发现公立药店以低价销售但质量较低,导致市场分割和私营部门涨价,整体上使消费者药品支出减少1.6%。

Abstract

We study the effects of competition by state-owned firms, leveraging the decentralized entry of public pharmacies to local markets in Chile. Public pharmacies sell the same drugs at a third of private pharmacy prices, because of stronger upstream bargaining and market power in the private sector, but are of lower quality. Public pharmacies induced market segmentation and price increases in the private sector, which benefited the switchers to the public option but harmed the stayers. The countrywide entry of public pharmacies would reduce yearly consumer drug expenditure by 1.6 percent.

公共药店市场竞争药品价格市场分割